Ko Hyun Sun, Jo Yun Seong, Kim Yeun Hee, Park Yong-Gyu, Moon Hee Bong, Lee Young, Shin Jong Chul
Department of Obstetrics and Gynecology, Catholic University of Korea College of Medicine, Seoul, Korea.
Department of Biostatistics, Catholic University of Korea College of Medicine, Seoul, Korea.
Obstet Gynecol Sci. 2015 Mar;58(2):81-9. doi: 10.5468/ogs.2015.58.2.81. Epub 2015 Mar 16.
The aims of the present study were to investigate the women's perspective on influenza infection and vaccination and to evaluate how they influence vaccine acceptability, in Korean women of childbearing age.
This was a prospective study by random survey of women of childbearing age (20 to 45 years). They were asked to complete a questionnaire assessing their knowledge, attitudes and acceptability of influenza vaccination before and during pregnancy. This study utilized data from the Korea National Health and Nutrition Examination Survey (KNHANES) between 2008 and 2012, to analyze the recent influenza vaccination trends.
According to KNHANES (2008-2012), influenza vaccination rates in women of childbearing age have increased up to 26.4%, after 2009. The questionnaire was completed by 308 women. Vaccination rate during pregnancy or planning a pregnancy was 38.6%. The immunization rate increased significantly with the mean number of correct answers (P<0.001). Women who received influenza vaccination were more likely to be previously informed of the recommendations concerning the influenza vaccination before or during pregnancy, received the influenza vaccination in the past, and of the opinion that influenza vaccination is not dangerous during pregnancy, with odds ratios of 14.6 (95% confidence interval [CI], 6.44 to 33.33; P<0.0001), 3.6 (95% CI, 1.84 to 6.97; P=0.0002) and 2.7 (95% CI, 1.34 to 5.47; P=0.0057).
Influenza vaccination rate in women of childbearing age has increased in this study and national data. More information and recommendation by healthcare workers, especially obstetricians, including safety of vaccination, might be critical for improving vaccination rate in women of childbearing age.
本研究旨在调查韩国育龄妇女对流感感染和疫苗接种的看法，并评估这些因素如何影响疫苗可接受性。
这是一项对育龄妇女（20至45岁）进行随机调查的前瞻性研究。要求她们在怀孕前和怀孕期间完成一份评估其对流感疫苗接种的知识、态度和可接受性的问卷。本研究利用了2008年至2012年韩国国家健康与营养检查调查（KNHANES）的数据，以分析近期流感疫苗接种趋势。
根据KNHANES（2008 - 2012），2009年后育龄妇女的流感疫苗接种率已上升至26.4%。308名妇女完成了问卷。怀孕或计划怀孕期间的疫苗接种率为38.6%。免疫接种率随正确答案的平均数量显著增加（P<0.001）。接受流感疫苗接种的妇女更有可能在怀孕前或怀孕期间事先了解到有关流感疫苗接种的建议、过去接受过流感疫苗接种，并且认为流感疫苗接种在怀孕期间不危险，优势比分别为14.6（95%置信区间[CI]，6.44至33.33；P<0.0001）、3.6（95%CI，1.84至6.97；P = 0.0002）和2.7（95%CI，1.34至5.47；P = 0.0057）。
本研究及国家数据显示育龄妇女的流感疫苗接种率有所上升。医护人员，尤其是产科医生提供更多信息和建议，包括疫苗接种的安全性，对于提高育龄妇女的疫苗接种率可能至关重要。
